The Medical journal of Australia · 2026
Barriers and Facilitators to Timely Detection and Optimal Management of Chronic Wet Cough in Aboriginal Children Across Australia From the Perspective of Health Care Providers: A Qualitative Study.
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Lau Gloria T Y, Laird Pamela, Aitken Robyn, Barwick Melanie, Bedford Liam, Bowden Emily R, Dalton Corey, Everingham Jamie, Fuery Angela, Griffin Reece, Jain Neha, Kinghorn Mina, Knapp Renae, McCallum Gabrielle B, Morris Peter, Norman Richard, Richmond Peter C, Saiganesh Aarti, Sibosado Slade, Toombs Maree, Walker Roz, Wilson Joan, Chang Anne B, Schultz André
Аннотация
OBJECTIVE: To identify barriers and facilitators to the timely detection and optimal management of chronic wet cough (CWC) in children from the perspective of health care providers (HCPs) across primary care clinics providing services to Australian Aboriginal people in multiple, diverse communities.
STUDY TYPE: Qualitative participatory action research study.
SETTING AND PARTICIPANTS: Eight Australian primary care clinics across three states and territories. Semi-structured interviews and focus groups were conducted with 83 HCPs from eight primary care clinics across metropolitan, regional and remote health service settings between May 2021 and July 2023.
MAIN OUTCOME MEASURES: Barriers to, and facilitators of, detection and optimal management of CWC in Aboriginal children in primary care settings.
RESULTS: Key barriers identified included limited condition-specific knowledge, time constraints and competing priorities. HCPs identified key facilitators, such as the need for additional training, educational resources and various modifications to clinic systems. Barriers and facilitators were similar across settings. Proposed solutions varied and were based on several factors, such as community size, availability of existing infrastructure and local preferences. In addition, HCPs highlighted the importance of a culturally secure environment in fostering engagement and communication with Aboriginal families.
CONCLUSION: Although the barriers and facilitators to the detection and management of CWC in Aboriginal children were largely consistent across settings, solutions must be tailored to each community's unique circumstances. A comprehensive approach is required to overcome barriers and deliver the intervention within a culturally secure framework.
STUDY TYPE: Qualitative participatory action research study.
SETTING AND PARTICIPANTS: Eight Australian primary care clinics across three states and territories. Semi-structured interviews and focus groups were conducted with 83 HCPs from eight primary care clinics across metropolitan, regional and remote health service settings between May 2021 and July 2023.
MAIN OUTCOME MEASURES: Barriers to, and facilitators of, detection and optimal management of CWC in Aboriginal children in primary care settings.
RESULTS: Key barriers identified included limited condition-specific knowledge, time constraints and competing priorities. HCPs identified key facilitators, such as the need for additional training, educational resources and various modifications to clinic systems. Barriers and facilitators were similar across settings. Proposed solutions varied and were based on several factors, such as community size, availability of existing infrastructure and local preferences. In addition, HCPs highlighted the importance of a culturally secure environment in fostering engagement and communication with Aboriginal families.
CONCLUSION: Although the barriers and facilitators to the detection and management of CWC in Aboriginal children were largely consistent across settings, solutions must be tailored to each community's unique circumstances. A comprehensive approach is required to overcome barriers and deliver the intervention within a culturally secure framework.